Ren Bin-Bin, Liu Zhi-Cheng, Xu Bin
Provincial-Ministerial Level Key Laboratory of Acupuncture and Medicine of the Ministry of Education, Nanjing University of CM, Nanjing 210029, Jiangsu Province, China.
Zhongguo Zhen Jiu. 2012 Oct;32(10):871-6.
To observe the efficacy of acupuncture and moxibustion on female obesity complicated with climacteric syndrome and its impact factors.
One hundred and fifty-one cases of female obesity complicated with climacteric syndrome were treated according to the basic principle as "pattern/syndrome differentiation". Accordingly, the reinforcing or reducing technique was applied at Quchi (LI 11), Zhongwan (CV 12), Tianshu (ST 25), Daheng (SP 15), Zusanli (ST 36), Shangjuxu (ST 37), Sanyinjiao (SP 6), Neiting (ST 44), etc. The auricular point sticking was applied at Hunger Point, Ear-shenmen, Sympathetic Nerve, Endocrine and Stomach. The treatment was given once every two days. The duration of treatment was 3 months. The changes in the symptoms, physical signs, obesity index, Kupperman index, the vegetative equilibrium index (Value Y), estradiol (E2) and follicle stimulating hormone (FSH) were observed before and after treatment.
The obesity patients complicated with climacteric syndrome presented unusually high level of obesity index, Kupperman index and FSH levels and unusually low level of E2. After treatment, the obesity index, Kupperman index and FSH levels were all reduced significantly (all P < 0.01) while E2 level was increased significantly (P < 0.05).
Acupuncture and moxibustion achieve the significant efficacy on obesity complicated with climacteric syndrome, which is closely related with the pattern/syndrome of the disorder and obesity grade. For the effective and curative rate of obesity index, the efficacy of liver qi stagnation pattern/syndrome is better than that at liver stagnation and spleen deficiency pattern/syndrome than spleen and kidney yang deficiency pattern/syndrome than liver and kidney yin deficiency pattern/syndrome than yin and yang deficiency pattern/syndrome; the efficacy of mild obesity is better than that at moderate obesity than severe obesity.
观察针灸治疗女性肥胖伴更年期综合征的疗效及其影响因素。
将151例女性肥胖伴更年期综合征患者按照“辨证论治”的基本原则进行治疗。据此,在曲池(LI 11)、中脘(CV 12)、天枢(ST 25)、大横(SP 15)、足三里(ST 36)、上巨虚(ST 37)、三阴交(SP 6)、内庭(ST 44)等穴位运用补泻手法。在饥饿点、耳神门、交感神经、内分泌、胃等耳穴进行贴压。治疗每两天进行一次。治疗疗程为3个月。观察治疗前后症状、体征、肥胖指数、库珀曼指数、植物神经平衡指数(Y值)、雌二醇(E2)和促卵泡生成素(FSH)的变化。
肥胖伴更年期综合征患者的肥胖指数、库珀曼指数和FSH水平异常升高,E2水平异常降低。治疗后,肥胖指数、库珀曼指数和FSH水平均显著降低(均P < 0.01),而E2水平显著升高(P < 0.05)。
针灸治疗肥胖伴更年期综合征疗效显著,这与疾病的证型和肥胖程度密切相关。就肥胖指数的有效率和治愈率而言,肝郁气滞证型的疗效优于肝郁脾虚证型,肝郁脾虚证型优于脾肾阳虚证型,脾肾阳虚证型优于肝肾阴虚证型,肝肾阴虚证型优于阴阳两虚证型;轻度肥胖的疗效优于中度肥胖,中度肥胖优于重度肥胖。